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MyD88 and TLR4 Expression in Epithelial Ovarian Cancer.


ABSTRACT: OBJECTIVE:To evaluate myeloid differentiation primary response gene 88 (MyD88) and Toll-like receptor 4 (TLR4) expression in relation to clinical features of epithelial ovarian cancer, histologic subtypes, and overall survival. PATIENTS AND METHODS:We conducted centralized immunohistochemical staining, semi-quantitative scoring, and survival analysis in 5263 patients participating in the Ovarian Tumor Tissue Analysis consortium. Patients were diagnosed between January 1, 1978, and December 31, 2014, including 2865 high-grade serous ovarian carcinomas (HGSOCs), with more than 12,000 person-years of follow-up time. Tissue microarrays were stained for MyD88 and TLR4, and staining intensity was classified using a 2-tiered system for each marker (weak vs strong). RESULTS:Expression of MyD88 and TLR4 was similar in all histotypes except clear cell ovarian cancer, which showed reduced expression compared with other histotypes (P<.001 for both). In HGSOC, strong MyD88 expression was modestly associated with shortened overall survival (hazard ratio [HR], 1.13; 95% CI, 1.01-1.26; P=.04) but was also associated with advanced stage (P<.001). The expression of TLR4 was not associated with survival. In low-grade serous ovarian cancer (LGSOC), strong expression of both MyD88 and TLR4 was associated with favorable survival (HR [95% CI], 0.49 [0.29-0.84] and 0.44 [0.21-0.89], respectively; P=.009 and P=.02, respectively). CONCLUSION:Results are consistent with an association between strong MyD88 staining and advanced stage and poorer survival in HGSOC and demonstrate correlation between strong MyD88 and TLR4 staining and improved survival in LGSOC, highlighting the biological differences between the 2 serous histotypes.

SUBMITTER: Block MS 

PROVIDER: S-EPMC5870793 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature

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MyD88 and TLR4 Expression in Epithelial Ovarian Cancer.

Block Matthew S MS   Vierkant Robert A RA   Rambau Peter F PF   Winham Stacey J SJ   Wagner Philipp P   Traficante Nadia N   Tołoczko Aleksandra A   Tiezzi Daniel G DG   Taran Florin Andrei FA   Sinn Peter P   Sieh Weiva W   Sharma Raghwa R   Rothstein Joseph H JH   Ramón Y Cajal Teresa T   Paz-Ares Luis L   Oszurek Oleg O   Orsulic Sandra S   Ness Roberta B RB   Nelson Gregg G   Modugno Francesmary F   Menkiszak Janusz J   McGuire Valerie V   McCauley Bryan M BM   Mack Marie M   Lubiński Jan J   Longacre Teri A TA   Li Zheng Z   Lester Jenny J   Kennedy Catherine J CJ   Kalli Kimberly R KR   Jung Audrey Y AY   Johnatty Sharon E SE   Jimenez-Linan Mercedes M   Jensen Allan A   Intermaggio Maria P MP   Hung Jillian J   Herpel Esther E   Hernandez Brenda Y BY   Hartkopf Andreas D AD   Harnett Paul R PR   Ghatage Prafull P   García-Bueno José M JM   Gao Bo B   Fereday Sian S   Eilber Ursula U   Edwards Robert P RP   de Sousa Christiani B CB   de Andrade Jurandyr M JM   Chudecka-Głaz Anita A   Chenevix-Trench Georgia G   Cazorla Alicia A   Brucker Sara Y SY   Alsop Jennifer J   Whittemore Alice S AS   Steed Helen H   Staebler Annette A   Moysich Kirsten B KB   Menon Usha U   Koziak Jennifer M JM   Kommoss Stefan S   Kjaer Susanne K SK   Kelemen Linda E LE   Karlan Beth Y BY   Huntsman David G DG   Høgdall Estrid E   Gronwald Jacek J   Goodman Marc T MT   Gilks Blake B   García María José MJ   Fasching Peter A PA   de Fazio Anna A   Deen Suha S   Chang-Claude Jenny J   Candido Dos Reis Francisco J FJ   Campbell Ian G IG   Brenton James D JD   Bowtell David D DD   Benítez Javier J   Pharoah Paul D P PDP   Köbel Martin M   Ramus Susan J SJ   Goode Ellen L EL  

Mayo Clinic proceedings 20180301 3


<h4>Objective</h4>To evaluate myeloid differentiation primary response gene 88 (MyD88) and Toll-like receptor 4 (TLR4) expression in relation to clinical features of epithelial ovarian cancer, histologic subtypes, and overall survival.<h4>Patients and methods</h4>We conducted centralized immunohistochemical staining, semi-quantitative scoring, and survival analysis in 5263 patients participating in the Ovarian Tumor Tissue Analysis consortium. Patients were diagnosed between January 1, 1978, and  ...[more]

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